Organization Name: | CHRISTINES PLACE INC |
NPI Number: | 1992031157 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUTH JANE KLIMASAUSKAS (PRESIDENT) |
Mailing Address: | 111 S High St Zelienople |
State: | PA US |
Postal Code: | 160631367 |
Phone Number: | 7244730873 |
Fax Number: | 4122026416 |
NPI Enumeration Date: | 10/22/2009 |
NPI Last Update Date: | 10/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |